Company Overview
Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.
Opportunity Overview:
The RN Reviewer position is a crucial role in our organization — in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to guiding the strategic operations for the company.
As an RN Reviewer, you will perform prospective review (prior authorization) admission, concurrent, and retrospective reviews according to established criteria and protocols to determine the medical appropriateness of the clinical requests from providers. You will work closely with Medical Directors and other Cohere Health staff to ensure appropriate cost-effective care by applying your clinical knowledge and critical thinking skills to assess the medical necessity of inpatient admissions, outpatient services and procedures, and provider out of network requests. You will be required to review Commercial, Medicare, and Medicaid lines of business.
You will need to be an agile and comprehensive thinker and planner and be able to work in an environment that is in flux. This position offers the ability to make a substantive mark in simplifying the way healthcare is delivered and contributes to an up and coming company with exponential growth opportunity.
Last but not least: People who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
What will you do
Your competencies
Your background
Important to know about this role:
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal
The salary range for this position is $32.00 to $35.00 hourly; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
#LI-Remote
#BI-Remote
...The Pittsburgh CLO, hailed as one of the nations premierregional theaters, is seeking a college aged student for our Graphic Design Internship. Start Date: 5/19/2025 End Date: 8/08/2025 Approx. Hours per week: 35 Specific Responsibilities ~ Assists the...
...SEM Marketing Specialist We are currently looking for a SEM Marketing... ...World's premier in-house digital marketing team. If you are looking... ...for everything RV. Full-time associates are offered a... ..., vision, PTO, 401k and more! Part-time associates are offered access...
...Our marketing intern will have the exciting opportunity to gain valuable hands-on experience by blending technical knowledge with marketing... ...sessions related to campaign development, lead nurturing, and SEO Conducting competitor research to identify trends and assess...
Description Summary: Responsible for coordination of orientation of all nursing personnel; representation of CHRISTUS in community activities;... ..., implementation, and evaluation of nursing continuing education programs Responsibilities: Maintains consistency with Administrative...
...would provide both warehouse duties, and fill in as a delivery driver when needed. What youll do: Receiveproduct accurately and... ...lift gate, electric pallet jack, along with a CDL B License and Hazmat Endorsement! We offer a rich benefits package that includes...